Question 16300 — health

Summary

Mr. Jean-Michel Brard draws the attention of the Minister of Health, Families, Autonomy and Disabled People to the future of the Asalée system (liberal team health action) in Loire-Atlantique. Created in 2004, this model of cooperation brings together hundreds of nurses in collaboration with general practitioners in practices spread across the Loire region. In Loire-Atlantique, this system is an essential lever for the prevention and management of chronic diseases, for the benefit of thousands of patients. Its effectiveness is proven: studies show that it allows significant savings on health expenses for monitored patients, while improving the quality of care. However, despite these results and the existence of an IGAS report, the situation of the association has become critical. On January 28, 2026, the management of the National Health Insurance Fund (CNAM), which finances the structure up to 98%, has notified a decision to immediately stop financing. This sudden break led to the association going into receivership in February 2026, jeopardizing years of work with patients and caregivers in Loire-Atlantique. The interruption of this system would weaken the continuity of care for patients chronic and would worsen the workload of general practitioners, already under pressure. In this context of social and health emergency, he asks what measures the Government intends to take to guarantee the sustainability of the Asalée system in Loire-Atlantique, in particular via the signing of a 2026-2028 agreement. He would like to know if the Government intends to protect this model of human and local care, essential for sick.

Machine translation from French. The official text remains authoritative.

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